Do I Qualify?

Get the extra benefits you deserve!

Health Choice Generations Utah HMO D-SNP is a Medicare Advantage Health Maintenance Organization Special Needs Plan contracted with the Centers of Medicare and Medicaid Services. This plan is designed for people who meet specific enrollment criteria. This includes anyone who receives medical assistance from Utah Medicaid and Medicare.

Do I qualify?

Health Choice Generations is a Medicare Advantage Health Maintenance Organization Special Needs Plan contracted with the Centers of Medicare and Medicaid Services. This plan is designed for people who meet specific enrollment criteria. This includes anyone who receives medical assistance from Utah Medicaid and Medicare.

To join the Health Choice Generations plan you must live in one of the counties in the service area covered by Health Choice Generations: Davis, Salt Lake, Tooele, Utah, and Weber counties.

In addition, you can join Health Choice Generations if you are:

• Entitled to Medicare Parts A and B (except those who have End-Stage Renal Disease, unless certain exception apply), and
• Enrolled in your state’s Medicaid program.

You must use plan providers except in emergent or urgent care situations or for out-of-area renal dialysis. If you obtain routine care from out-of-plan providers, neither Medicare nor Health Choice Generations will be responsible for the costs.

Generally, members of Health Choice Generations qualify for extra help with their Medicare medical and prescription drug costs. Medicare may cover all or some portion of your plan premium, and Medicaid may cover all or some portion of your plan co-insurance and/or co-payment amounts.

Beneficiaries interested in qualifying for extra help (also called Low Income Subsidy) with Medicare Prescription Drug Plan costs should call:

• 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week, or Your State Medicaid Office, or
• The Social Security Administration at 1-800-772-1213 between 7 am and 7 pm, Monday through Friday. TTY/TDD users should call-1-800-325-0778.

Ready to enroll?

Health Choice Generations has provided Medicare beneficiaries with several enrollment options including:

• Electronically on this website
• In person with a broker by calling Health Choice Generations Utah at: 1-844-457-8943 (TTY 711) from 8 a.m. – 8 p.m., 5 days a week (April – September) or 7 days a week (October – March).
• Through the Medicare Online Enrollment Center at Medicare.gov

It is important that you refer to your Medicare Card in order to complete the Medicare Insurance information portion. Please read and answer all questions completely to ensure your enrollment is accurate.

Health Choice Generations will check your enrollment form for completeness and send you a letter in the mail confirming receipt of your Health Choice Generations online enrollment form. Health Choice Generations will notify you of any additional information required, and then allow you the opportunity to amend your Health Choice Generations enrollment.

At this point in the enrollment process, Health Choice Generations will submit your enrollment to The Centers for Medicare & Medicaid Services (CMS); CMS is the Federal agency that runs the Medicare program. CMS must review all enrollments submitted to Health Choice Generations and will either approve or deny them based on the information provided.

When CMS finishes its review of your application, and they have notified Health Choice Generations of your enrollment – either acceptance or denial – Health Choice Generations will send you a letter notifying you of CMS’ decision. It is important that you do not cancel any Medigap/Medicare Select or supplemental insurance that you have until Health Choice Generations sends you your acceptance or denial confirmation letter.